Individual
GLENN THOMAS ASHWORTH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
3820 PACIFIC AVE, SUITE 101, TACOMA, WA 98418-7825
(716) 425-6295
Mailing address
3820 PACIFIC AVE, SUITE 101, TACOMA, WA 98418-7825
(716) 425-6295
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DE 60462145
WA
1223G0001X
General Practice Dentistry
14600
MD
Other
Enumeration date
09/20/2010
Last updated
05/19/2015
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